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General NPI Number Information
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NPI Number | 1760447866
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Entity Type | Organization
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Legal Business Name | MOBILE-SC, LTD
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 6144 AIRPORT BLVD STE A
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City | MOBILE
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State | AL
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Zip | 36608-3143
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Country | US
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Telephone | 251-438-3614
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Fax |
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Provider Business Mailing Address
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Address Line | 6144 AIRPORT BLVD STE A
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City | MOBILE
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State | AL
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Zip | 36608-3143
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | LEA HARBOR
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Credential |
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Telephone | 205-545-2572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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